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CHANGE ORDER FORM
Date: 11/27/2013 Contract No.: C13-2056-PW Change Order No.: ___ 2
Owner: __ OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS
Contractor:___Gulf Atlantic Constructors, inc.
Summary: Revised Trench Drain System (ACO K200 Drain) - Furnish and install trench drain
with revised footer detail (all material and labor included in price)
CHANGE TO CONTRACT PRICE
DESCRIPTION AMOUNT
Original Contract Price: $1,064,464.85
Net change by previously authorized Change Orders: $5,590.00
Present Contract Price: $1,070,054.85
This Change Order will (add/deduct): $53,085.19
New Contract Price: $1,123,140.04
CHANGE TO CONTRACT TIME
DESCRIPTION DATE or NUMBER OF DAYS
Original Contract Time: 180 Days
Original Substantial Completion Date: March 1, 2014
Net change by previously authorized Change Orders: 0 Days
This Change Order will (add/deduct): 0 Days
New Contract Time: 180 Days
New Substantial Completion Date: March 1, 2014
APPROVALS
REQUESTED Utley DATE; _tk | 1p | %
PROJECT nonetep Zed le = DATE: iz/afre
CONTRACTOR: Veh Lh Fe! DATE: Af of Le
OWNER: DATE:
This Change Order is an amendment to the Contract/Agreement between Contractor and the
Owner, and all other contract provisions shall remain in full force and effect unless specifically
amended in writing, signed by both parties.
GULF-ATLANTIC CONSTRUCTORS, INC.
650 WEST OAKFIELD ROAD 850-477-0588
PENSACOLA, FL 32503 FAX 850-479-2788
TRENCH BREAKDOWN
TO: JOHN VANNOY JOB NAME: MARLER PARK
HDR JOB LOCATION: FT WALTON BEACH
OWNER: OKALOOSA COUNTY
DATE: 27 NOV 2013
ITEM ITEM PLAN UNIT CONTRACT
NO. DESCRIPTION QUANTITY UNIT — PRICE AMOUNT
ORIGINAL BID TRENCH
4 Galvanized Angle 871 LF $9.77 $8,509.67
2 FRP Grating 871 LE $13.31 $11,593.01
3 Sub: Craftsman - Installation 871 LF $46.92 $40,867.32
TOTAL $60,970.00
REVISED TRENCH
1 White Cap Trench System 1 LS $49,124.17 $49,124.17
2 Sales Tax on Trench @ 6% 4 LS $2,947.45 $2,947.45
3 Sub: Craftsman - Installation Add 4 LS $16,086.00 $16,086.00
Subtotal $68,157.62
4 Markup & Bond on Subtotal @ 6.5% 1 LS $4,430.25 $4,430.25
Subtotal $72,587.87
5 4" PVC Outfall Pipes 3. EA $200.00 $600.00
REVISED TOTAL = $73,187.87
NET CHANGE
1 (CREDIT) Original Material Items 1 & 2 1 LS ($20,102.68) ($20,102.68)
TOTAL CHANGE -ADD — $53,085.19
GULF-ATLANTIC CONSTRUCTORS, INC.
BYRON D. BAUER, ESTIMATOR